Last Edited: January 26, 2026
Notice of Privacy Practices
Effective date: April 14, 2003
What this notice is about
- Explains how health information about you may be used and disclosed
- Explains how you can access your information
- Please review it carefully
Questions / Contact
Privacy Officer, Saint Louis Counseling
Phone: 314-544-3800
Address: 5 Premier Drive, Suite 200, Fenton, MO 63026
Who must follow this notice
This notice applies to:
- Health care professionals authorized to enter information into your health record
- All departments and units of the Agency
- Approved volunteers who help while you receive services
- Employees, staff, and other Agency personnel (including personnel within other agencies of the Catholic Charities’ Federation with whom information may be shared)
- Programs/sites/locations may share information with each other for treatment, payment, or Agency operations as described below
Our pledge regarding your health information
- Your health information is personal, and the Agency is committed to protecting it.
- The Agency creates records of care/services to provide quality care and meet legal requirements.
- This notice applies to records generated by the Agency (including records created by Agency personnel and by your doctor/other practitioners involved in your care).
- Your personal doctor may have separate privacy practices for records created in their office/clinic.
What the law requires of us
- Keep health information that identifies you private
- Give you this notice of legal duties and privacy practices
- Follow the terms of the notice currently in effect
How we may use and disclose health information about you
Examples are included in the notice; not every example is listed here.
For treatment
- Use your information to provide treatment/services
- Share information with professionals involved in your care (e.g., clinicians, staff, students, clergy, care team members)
- Information may be shared for intake/assessment, care planning, treatment teamwork, and aftercare coordination
For payment
- Use/disclose information so services can be billed and payment collected (you, insurer, or third party)
- May share information to obtain prior approval or determine coverage
For Agency operations
- Use/disclose information to run the Agency and support quality improvement
- Examples include: reviewing services, evaluating staff performance, sending satisfaction surveys, planning services, training/review, comparing performance with other agencies, and de-identifying data for study/analysis
Appointment reminders
- Contact you to remind you of appointments
Treatment alternatives
- Tell you about or recommend treatment options or alternative services
Health-related benefits and services
- Tell you about benefits, services, or health education classes
People involved in your care or payment for your care
- Share information with a caregiver (friend/family member) or someone helping pay for your care
Research
- Under certain circumstances, use/disclose information for research
- Research is subject to a special approval process
- The Agency will generally seek your permission if a researcher would have access to identifying details or be involved in your care
As required by law
- Disclose information when required by federal, state, or local law
Special situations
Organ and tissue donation
- May share information with organizations involved in organ/eye/tissue procurement and transplantation
Military and veterans
- May share information as required by military command authorities (and for foreign military personnel, with appropriate foreign authorities)
Workers’ compensation
- May share information for workers’ compensation or similar programs
Public health and safety
May disclose information for public health activities and to prevent serious threats to health/safety, including:
- Preventing/controlling disease, injury, or disability
- Reporting births and deaths
- Reporting child abuse or neglect
- Reporting medication reactions or product problems
- Notifying people of product recalls
- Notifying someone who may have been exposed to a disease or at risk of spreading one
- Notifying appropriate authorities if abuse/neglect/domestic violence is suspected (when required or authorized by law)
Health oversight activities
- May disclose information to oversight agencies for audits, investigations, inspections, licensure, and related monitoring of the healthcare system/programs/civil rights compliance
Lawsuits and disputes
- May disclose information in response to a court/administrative order, subpoena, discovery request, or other lawful process
Law enforcement
May disclose information to law enforcement as permitted, including:
- In response to legal process (court order, subpoena, warrant, summons, etc.)
- To identify/locate a suspect, fugitive, material witness, or missing person
- About a crime victim in limited circumstances when the person’s agreement can’t be obtained
- About a death suspected to result from criminal conduct
- About criminal conduct at the Agency
- In emergencies: to report a crime, location of crime/victims, or identify/describe/locate the person who committed the crime
Coroners, medical examiners, and funeral directors
- May disclose information to identify a deceased person, determine cause of death, or help funeral directors carry out duties
National security and intelligence activities
- May disclose information to authorized federal officials for intelligence/counterintelligence and national security activities
Protective services for the President and others
- May disclose information to authorized federal officials to provide protection to the President/others/foreign heads of state
Inmates / correctional settings
- If you are an inmate or in custody, may disclose information to the correctional institution/law enforcement for care, safety, or facility security
Other uses of health information
- Any other uses/disclosures not covered by this notice (or applicable law) require your written permission.
- You may revoke permission in writing at any time (doesn’t undo disclosures already made).
- The Agency must retain records of the care provided to you.
Your rights regarding health information about you
Right to inspect and copy
- You may inspect/copy information used to make decisions about your care (typically health and billing records).
- Requests must be in writing to the Client Records Department: 314-544-3800.
- Fees may apply for copying/mailing/supplies.
- In limited cases, requests may be denied; you can request a review by a licensed professional not involved in the original denial.
Right to amend
- You may request corrections to information you believe is incorrect/incomplete.
- Request must be in writing to the Director of Client Records and include a reason.
- Requests may be denied if:
- The Agency didn’t create the information (and the creator isn’t available to amend)
- The information isn’t part of the Agency’s records
- The information isn’t something you’re allowed to inspect/copy
- The information is accurate and complete
Right to an accounting of disclosures
- You may request a list of certain disclosures the Agency made.
- Must be in writing to the Director of Client Records.
- Time period can’t exceed six years and can’t include dates before April 14, 2003.
- First request in a 12-month period is free; additional requests may have a cost (you’ll be notified and can modify/withdraw).
Right to request restrictions
- You can request limits on how information is used/disclosed for treatment, payment, or operations.
- You can request limits on disclosures to people involved in your care/payment.
- The Agency is not required to agree; if it does agree, it will follow the restriction unless needed for emergency treatment.
- Requests must be in writing to the Director of Client Records and specify: what to limit, whether use/disclosure/both, and to whom the limit applies.
Right to request confidential communications
- You can ask the Agency to contact you in a specific way or location (e.g., only at work or by mail).
- Must be in writing to the Director of Client Records.
- No reason required; reasonable requests will be accommodated, and you must specify how/where to contact you.
Right to a paper copy of this notice
- You can request a paper copy at any time from any staff member.
Changes to this notice
- The Agency may change this notice and apply changes to information already on file and future information.
- The current notice will be posted at the Agency and on the website (if maintained).
- The effective date appears on the first page, and you can request a paper copy anytime.
Complaints
- If you believe your privacy rights were violated, you may contact or submit a written complaint to the Agency’s Privacy Officer.
- If the Agency can’t resolve the concern, you may file a written complaint with the Secretary of the Department of Health and Human Services.
- You will not be penalized and your care will not be jeopardized for filing a complaint.